We have several doctors within our primary care group that also work as
independent contractors with nursing homes to fill the role of medical
director.  By rule, the medical director has to visit with each patient of
the nursing home whether he/she is a patient of that doctor or not.  The
doctor does not actually treat a person unless he/she is a patient of that
doctor, but he does see the all of the patients' records and is therefore
exposed to their PHI.  My question is, do we need a BAA with those nursing
homes since our doctors are seeing PHI of non-patients, and it is not for
treatment purposes?  These physicians, while working as independent
contractors, have an agreement with the rest of the primary care group in
regards to contracting out that ultimately means that the BAA would be with
the group, not the individual physicians.  Our question is whether there
needs to be a BAA at all because of this scenario.

Regards,

Mitch Kwiatkowski
IS/IT Manager
Preferred Primary Care Physicians


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